Lab & pathology prices at Providence Holy Family Hospital
Spokane, WA · every code in this section with a posted price and a Medicare benchmark.
738 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 1 25 Dihydroxy includes fractions if performed (82652) | $156.10 | $223 | 4.1× |
| 5 Nucleotidase (83915) | $130.90 | $187 | 11.7× |
| Acetaminophen level (80143) | $338.80 | $484 | 18.2× |
| Acetone serum qual (82009) | $77.70 | $111 | 17.2× |
| Acetylcholine receptor binding antibody (86041) | $229.25 | $327.50 | 12.5× |
| Acetylcholine receptor blocking antibody (86042) | $345.80 | $494 | 18.8× |
| Acetylcholinesterase (82013) | $126 | $180 | 10.3× |
| Acetylcholn Rcptr Modlg Antb (86043) | $345.80 | $494 | 28.7× |
| Acth stimulation panel adrenal insufficiency (80400) | $161 | $230 | 4.9× |
| Actin smooth muscle antibody each (86015) | $96.25 | $137.50 | 8.0× |
| Activated protein c resistance (85307) | $98.70 | $141 | 6.4× |
| Acute hepatitis panel (80074) | $173.60 | $248 | 3.6× |
| Acylcarnitine Plasma (82017) | $74.55 | $106.50 | 4.4× |
| Adamts13 activity (85397) | $217 | $310 | 7.0× |
| Adenovirus ag, if (87260) | $230.30 | $329 | 16.0× |
| Adrenocorticotropic hormone (82024) | $199.50 | $285 | 5.2× |
| Afp maternal serum (82105) | $166.60 | $238 | 9.9× |
| Albumin body fluid (82042) | $93.80 | $134 | 12.1× |
| Albumin serum (82040) | $51.10 | $73 | 10.3× |
| Albumin; ischemia modified Facility (82045) | $97.30 | $139 | 2.9× |
| Aldolase (82085) | $105 | $150 | 10.8× |
| Aldosterone urine (82088) | $211.40 | $302 | 5.2× |
| Alkaline phosphatase isoenzymes (84080) | $119.70 | $171 | 8.1× |
| Allergen peanut (86003) | $36.05 | $51.50 | 6.9× |
| Allergen specific igg (86001) | $16.10 | $23 | 2.1× |
| Allg Spec Ige Recomb Ea (86008) | $31.85 | $45.50 | 1.8× |
| Alpha-1-antitrypsin phenotype (82104) | $41.30 | $59 | 2.9× |
| Alpha-1-antitrypsin, total (82103) | $56 | $80 | 4.2× |
| Alt (sgpt) (84460) | $71.40 | $102 | 13.5× |
| Aluminum (82108) | $77.70 | $111 | 3.0× |
| Amikacin trough (80150) | $376.60 | $538 | 25.0× |
| Amino acids 6/> amino acids quantitative ea spe (82139) | $286.30 | $409 | 17.0× |
| Amino Acids, Multiple Qual (82128) | $166.60 | $238 | 12.0× |
| Aminolevulinic acid (ala) (82135) | $133 | $190 | 8.1× |
| Amniotic fluid enzyme test (84081) | $35.70 | $51 | 2.2× |
| Amylase urine (82150) | $159.60 | $228 | 24.6× |
| Ana titer (86039) | $80.50 | $115 | 7.2× |
| Angiotensin i enzyme test (82164) | $128.10 | $183 | 8.8× |
| Anti-phosphatidylserine antibody (86148) | $183.40 | $262 | 11.4× |
| Antibody aspergillus (86606) | $74.90 | $107 | 5.0× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $55.30 | $79 | 3.6× |
| Antibody coxiella burnetii q fever (86638) | $122.15 | $174.50 | 10.1× |
| Antibody cytomegalovirus cmv (86644) | $162.40 | $232 | 11.3× |
| Antibody Encephalitis Eastern Equine (86652) | $147 | $210 | 11.1× |
| Antibody encephalitis st. louis (86653) | $147 | $210 | 11.1× |
| Antibody epstein-barr eb virus early antigen ea (86663) | $164.50 | $235 | 12.5× |
| Antibody Fungus Not Elsewhere Specified (86671) | $107.80 | $154 | 8.8× |
| Antibody helicobacter pylori (86677) | $48.65 | $69.50 | 2.9× |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $130.90 | $187 | 9.1× |
| Antibody Hiv-1&Hiv-2 Single Result (86703) | $168 | $240 | 12.3× |
| Antibody HIV-2 (86702) | $369.60 | $528 | 27.3× |
| Antibody identification (86870) | $133 | $190 | 0.3× |
| Antibody identification leukocyte antibodies (86021) | $592.90 | $847 | 39.4× |
| Antibody Identification Platelet Immunogl Assay (86023) | $59.50 | $85 | 4.8× |
| Antibody influenza virus (86710) | $109.20 | $156 | 8.1× |
| Antibody mumps (86735) | $55.30 | $79 | 4.2× |
| Antibody Protozoa Nes (86753) | $140 | $200 | 11.3× |
| Antibody screen (86850) | $53.90 | $77 | 5.5× |
| Antibody treponema pallidum (86780) | $179.90 | $257 | 13.6× |
| Antibody; Coccidioides (86635) | $66.50 | $95 | 5.8× |
| Antigen typing (86905) | $53.90 | $77 | 14.1× |
| Antihuman Globulin Indirect Ea Antibody Titer - Antibody Titer (86886) | $163.80 | $234 | 31.6× |
| Antineutrophil Cytoplasmic Antb Titer Ea Antb (86037) | $44.80 | $64 | 3.7× |
| Antinomyces antibody (86602) | $29.40 | $42 | 2.9× |
| Antinuclear antibodies (86038) | $130.90 | $187 | 10.8× |
| Antistreptolysin O Screen - Anti-Streptolysin O (86063) | $139.30 | $199 | 24.1× |
| Antistreptolysin o titer (86060) | $100.80 | $144 | 13.8× |
| Antithrombin iii activity (85300) | $108.50 | $155 | 9.2× |
| Antithrombin iii antigen (85301) | $93.10 | $133 | 8.6× |
| Apolipoprotein each (82172) | $46.90 | $67 | 2.2× |
| Arsenic Urine (82175) | $94.50 | $135 | 5.0× |
| Aspergillus ag eia (87305) | $187.60 | $268 | 15.7× |
| Assay 17-(17-Ks)Ketosteroids (83586) | $105 | $150 | 8.2× |
| Assay Biovlbl Testosterone Direct Measurement (84410) | $179.20 | $256 | 3.5× |
| Assay Lipoprotein Pla2 (83698) | $185.50 | $265 | 4.0× |
| Assay Nephelometry Not Spec (83883) | $49.70 | $71 | 3.7× |
| Assay of 17-hydroxypregnenolone (84143) | $109.20 | $156 | 4.8× |
| Assay of 5-hiaa (83497) | $150.50 | $215 | 11.7× |
| Assay of ammonia (82140) | $214.20 | $306 | 14.7× |
| Assay of androstenedione (82157) | $106.40 | $152 | 3.6× |
| Assay of c-peptide (84681) | $154.70 | $221 | 7.4× |
| Assay of ceruloplasmin (82390) | $112 | $160 | 10.4× |
| Assay of citrate (82507) | $79.10 | $113 | 2.8× |
| Assay of cyclosporine (80158) | $224.70 | $321 | 12.4× |
| Assay of erythropoietin (82668) | $165.55 | $236.50 | 8.8× |
| Assay of estrone (82679) | $98 | $140 | 3.9× |
| Assay of ethosuximide (80168) | $112 | $160 | 6.9× |
| Assay of ferritin (82728) | $123.90 | $177 | 9.1× |
| Assay of g6pd enzyme (82955) | $38.50 | $55 | 4.0× |
| Assay of gammaglobulin igm (82784) | $86.80 | $124 | 9.3× |
| Assay of gastrin (82941) | $186.20 | $266 | 10.6× |
| Assay of gentamicin (80170) | $191.80 | $274 | 11.7× |
| Assay of homocystine (83090) | $128.80 | $184 | 7.2× |
| Assay of lactic acid (83605) | $129.50 | $185 | 11.2× |
| Assay of lipoprotein(a) (83695) | $167.30 | $239 | 11.7× |
| Assay of manganese (83785) | $47.60 | $68 | 1.8× |
| Assay of metanephrines (83835) | $145.60 | $208 | 8.6× |
| Assay of phenobarbital (80184) | $176.40 | $252 | 11.5× |
| Assay of phosphatase acid total (84060) | $87.50 | $125 | 11.5× |
| Assay of prealbumin (84134) | $149.80 | $214 | 10.3× |
| Assay of proinsulin (84206) | $235.90 | $337 | 8.8× |
| Assay of prolactin (84146) | $145.60 | $208 | 7.5× |
| Assay of pyruvate (84210) | $67.90 | $97 | 4.7× |
| Assay of serotonin (84260) | $172.20 | $246 | 5.6× |
| Assay of tacrolimus (80197) | $164.50 | $235 | 12.0× |
| Assay of topiramate (80201) | $100.80 | $144 | 8.5× |
| Assay of urine vma (84585) | $201.60 | $288 | 13.0× |
| Assay of vasopressin anti-diuretic hormone (84588) | $274.40 | $392 | 8.1× |
| Assay of vitamin k (84597) | $149.80 | $214 | 10.9× |
| Assay Phosphatase Acid Prostatic (84066) | $86.10 | $123 | 8.9× |
| Assay spec xcp ur&breath ia (82077) | $275.10 | $393 | 15.9× |
| Ast (sgot) (84450) | $56.70 | $81 | 10.9× |
| Atomic Absorption (82190) | $289.80 | $414 | 18.2× |
| B cells total count (86355) | $105 | $150 | 2.8× |
| Bartonella antibody (86611) | $100.80 | $144 | 9.9× |
| Bcr/abl1 gene major bp (81206) | $407.40 | $582 | 2.5× |
| Bcr/abl1 gene minor bp (81207) | $240.10 | $343 | 1.7× |
| Beta 2 glycoprotein 1 igm (86146) | $227.50 | $325 | 8.9× |
| Beta hydroxybutyrate (82010) | $84.70 | $121 | 10.4× |
| Beta lactamase (87185) | $32.20 | $46 | 6.8× |
| Beta-2 microglobulin (82232) | $185.50 | $265 | 11.5× |
| Bile acids, total (82239) | $64.40 | $92 | 3.8× |
| Bilirubin direct (82248) | $72.10 | $103 | 14.4× |
| Bilirubin total (82247) | $72.80 | $104 | 14.5× |
| Bilirubin total transcutaneous (88720) | $22.40 | $32 | 4.5× |
| Bl Smear W/Diff Wbc Count (85007) | $42.70 | $61 | 11.2× |
| Bl Smear W/O Diff Wbc Count (85008) | $44.10 | $63 | 12.9× |
| Blastomyces antibody (86612) | $67.90 | $97 | 5.3× |
| Bld Bank Phys Svcs Invstgj Tfuj Rxn Reprt (86078) | $252 | $360 | 1.3× |
| Bld Typing Serologic Rh Phnt (86906) | $198.10 | $283 | 25.6× |
| Blood Count Reticulocytes Auto 1/> Cell Meas (85046) | $74.90 | $107 | 13.4× |
| Blood gas (82803) | $201.60 | $288 | 7.7× |
| Blood Occult Fecal Hgb Deter Ia Qual Feces 1-3 (82274) | $63 | $90 | 4.0× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $39.90 | $57 | 9.1× |
| Blood Ph (82800) | $144.20 | $206 | 13.1× |
| Blood Type Antigen Donor Reagent Serum Each - Blood Typing, Antigen (86902) | $133 | $190 | 20.9× |
| Blood typing abo (86900) | $53.90 | $77 | 18.0× |
| Blood typing serologic rh (d) (86901) | $53.90 | $77 | 18.0× |
| Body fluid cell count (89051) | $167.30 | $239 | 29.9× |
| Body fluid cell count (89050) | $125.30 | $179 | 26.5× |
| Bone Marrow Smear Interpretation (85097) | $82.60 | $118 | 0.1× |
| Bordetella pertussis dfa (87265) | $281.40 | $402 | 23.5× |
| Borrelia Antibody (86619) | $142.80 | $204 | 10.7× |
| Braf gene (81210) | $544.60 | $778 | 3.1× |
| Brucella antibody (86622) | $74.20 | $106 | 8.3× |
| C diff amplified probe (87493) | $211.40 | $302 | 5.7× |
| C-reactive protein (86140) | $131.60 | $188 | 25.4× |
| C-Reactive Protein,High Sensitivity - High Sensitivity Crp (86141) | $85.40 | $122 | 6.6× |
| C1q binding assay (86332) | $79.80 | $114 | 3.3× |
| Ca 125 (86304) | $266 | $380 | 12.8× |
| Ca 19-9 (86301) | $210.70 | $301 | 10.1× |
| Ca 27 29 (86300) | $210.70 | $301 | 10.1× |
| Cadmium level (82300) | $130.90 | $187 | 5.5× |
| Caffeine (80155) | $86.10 | $123 | 2.2× |
| Calcitonin (82308) | $142.80 | $204 | 5.3× |
| Calcium ionized (82330) | $126.70 | $181 | 9.3× |
| Calcium total (82310) | $79.80 | $114 | 15.5× |
| Calcium urine (82340) | $65.80 | $94 | 10.9× |
| Calculus spectroscopy (82365) | $111.30 | $159 | 8.6× |
| Calprotectin, fecal (83993) | $201.60 | $288 | 10.3× |
| Calr gene com variants (81219) | $373.10 | $533 | 3.1× |
| Carbamazepine total (80156) | $259 | $370 | 17.8× |
| Carbon dioxide (82374) | $53.90 | $77 | 11.0× |
| Carboxyhemoglobin (82375) | $118.30 | $169 | 9.6× |
| Carcinoembryonic antigen (82378) | $142.80 | $204 | 7.5× |
| Cardiolipin ab igg (86147) | $233.80 | $334 | 9.2× |
| Carnitine (82379) | $130.90 | $187 | 7.8× |
| Carotene (82380) | $114.10 | $163 | 12.4× |
| Catecholamines fraction plasma (82384) | $242.55 | $346.50 | 9.6× |
| Cebpa gene full sequence (81218) | $760.90 | $1,087 | 3.1× |
| Cftr gene com variants (81220) | $924 | $1,320 | 1.7× |
| Chemiluminescent assay (82397) | $93.80 | $134 | 6.6× |
| Chlamydia antibody (86631) | $62.30 | $89 | 5.3× |
| Chlamydia Igm Antibody (86632) | $62.30 | $89 | 4.9× |
| Chloramphenicol (82415) | $105 | $150 | 8.3× |
| Chloride blood (82435) | $31.50 | $45 | 6.8× |
| Chloride feces (82438) | $41.30 | $59 | 8.3× |
| Chloride urine (82436) | $56 | $80 | 9.7× |
| Cholesterol HDL (83718) | $53.90 | $77 | 6.6× |
| Cholesterol total (82465) | $55.65 | $79.50 | 12.8× |
| Chrmsm Analysis Addl Cells Counted Each Study (88285) | $96.60 | $138 | 3.6× |
| Chrmsm Analysis Addl Karyotyp Each Study (88280) | $102.20 | $146 | 3.1× |
| Chrmsm count 15-20 cll 2karyotyp banding (88262) | $596.40 | $852 | 4.8× |
| Chromium urine (82495) | $51.10 | $73 | 2.5× |
| Chromogenic Substrate Assay (85130) | $145.60 | $208 | 12.2× |
| Chromogranin a (86316) | $183.75 | $262.50 | 8.8× |
| Chromosome analysis 20-25 cells (88264) | $546 | $780 | 3.8× |
| Chromosome analysis 45 cells (88263) | $751.80 | $1,074 | 5.0× |
| Chromosome Analysis 5 (88261) | $886.90 | $1,267 | 3.4× |
| Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding Facility (88267) | $744.80 | $1,064 | 3.9× |
| Chromosome Banding Study (88283) | $100.10 | $143 | 1.5× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $123.90 | $177 | 3.5× |
| Ckmb (82553) | $141.40 | $202 | 12.2× |
| Clot factor viii vw antigen (85246) | $158.20 | $226 | 6.9× |
| Clot Factor X Stuart-Power - Factor 10 Activity (85260) | $141.40 | $202 | 7.9× |
| Clotting Inhibitors Protein S Free (85306) | $142.10 | $203 | 9.3× |
| Clozapine level (80159) | $295.40 | $422 | 14.7× |
| Cmv ab igm (86645) | $217.70 | $311 | 12.9× |
| Cmv PCR (87496) | $344.40 | $492 | 9.8× |
| Cns DNA amp probe type 12-25 (87483) | $3,261.30 | $4,659 | 7.8× |
| Coagulation time activated (85347) | $84 | $120 | 19.6× |
| Col-chr/ms nondrug analyte nes qual/quan ea spec (82542) | $233.10 | $333 | 9.7× |
| Cold agglutinin titer (86157) | $193.20 | $276 | 24.0× |
| Collagen cross links (82523) | $93.80 | $134 | 5.0× |
| Compatibility test antiglob (86922) | $133 | $190 | 0.7× |
| Complement c3 (86160) | $205.10 | $293 | 17.1× |
| Complement total (ch50) (86162) | $197.40 | $282 | 9.7× |
| Complement/Function Activity - C1 Esterase Inhibitor, Functional (86161) | $150.50 | $215 | 12.5× |
| Concentration Infectious Agent (87015) | $75.60 | $108 | 11.3× |
| Consltj&Reprt Slides Prepared Elsewhere (88321) | $306.60 | $438 | 7.4× |
| Coombs direct (86880) | $53.90 | $77 | 10.0× |
| Copper urine (82525) | $97.30 | $139 | 7.8× |
| Cortisol free (82530) | $70 | $100 | 4.2× |
| Cortisol total (82533) | $171.85 | $245.50 | 10.5× |
| Creatine kinase total (82550) | $67.90 | $97 | 10.4× |
| Creatinine blood (82565) | $65.10 | $93 | 12.7× |
| Creatinine clearance (82575) | $167.30 | $239 | 17.7× |
| Creatinine other source (82570) | $79.10 | $113 | 15.3× |
| Crossmatch immediate spin (86920) | $133 | $190 | 0.7× |
| Cryofibrinogen (82585) | $84 | $120 | 5.9× |
| Cryoglobulin (82595) | $64.40 | $92 | 10.0× |
| Cryptococcus antibody (86641) | $126.70 | $181 | 8.8× |
| Crystals body fluid (89060) | $104.30 | $149 | 14.2× |
| Cul Bact Anaerobic Addl Meths Definitive Ea Isol (87076) | $173.60 | $248 | 21.5× |
| Cul Typ Id Bld Pthgn 6+ Trgt (87154) | $965.30 | $1,379 | 4.4× |
| Culture Aerobic Identify (87077) | $130.20 | $186 | 16.1× |
| Culture afb (87116) | $170.80 | $244 | 15.8× |
| Culture anaerobic (87075) | $173.60 | $248 | 18.3× |
| Culture blood (87040) | $294 | $420 | 28.5× |
| Culture chlamydia (87110) | $143.50 | $205 | 7.3× |
| Culture Fungi-Skin Hair Nails - Fungal Culture, Cutaneous (87101) | $201.60 | $288 | 26.1× |
| Culture fungus blood (87103) | $271.60 | $388 | 13.3× |
| Culture fungus id yeast (87106) | $142.80 | $204 | 13.8× |
| Culture fungus other (87102) | $158.90 | $227 | 18.9× |
| Culture genital (87070) | $165.20 | $236 | 19.2× |
| Culture screen only (87081) | $152.60 | $218 | 23.0× |
| Culture stool (87045) | $231 | $330 | 24.5× |
| Culture typing if ea antiserum (87140) | $100.80 | $144 | 18.1× |
| Culture Typing Immunologic Oth/Thn Immunofluores (87147) | $27.30 | $39 | 5.3× |
| Culture Typing, Nucleic Acid Amp Probe, Cult/Isolate, Each (87150) | $39.20 | $56 | 1.1× |
| Culture urine (87086) | $112.70 | $161 | 14.0× |
| Culture virus (87252) | $322 | $460 | 12.4× |
| Culture, typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method Facility (87143) | $202.30 | $289 | 16.2× |
| Cyanide (82600) | $126 | $180 | 6.5× |
| Cyclic Citrullinated Peptide (86200) | $49 | $70 | 3.8× |
| Cystatin c (82610) | $74.90 | $107 | 4.0× |
| Cysticercosis Antibody (86682) | $130.20 | $186 | 10.0× |
| Cytogenetics 100-300 (88275) | $210.70 | $301 | 4.1× |
| Cytogenetics DNA probe (88271) | $205.10 | $293 | 9.6× |
| Cytogenom const microarray copy number&snp var (81229) | $2,117.50 | $3,025 | 1.8× |
| Cytomeg, Dna, Quant - Cmv Dna, Quantitative, Pcr (87497) | $334.60 | $478 | 7.8× |
| Cytopath cell enhance tech (88112) | $119.70 | $171 | 2.1× |
| Cytopath Fl Nongyn Smears - Lab Cytopath Fluids,Smear,Interp (88104) | $175.70 | $251 | 4.2× |
| Cytopath Smear Other Source (88160) | $86.80 | $124 | 2.7× |
| Cytopath Tbs Cerv/Vag Manual (88164) | $45.50 | $65 | 2.5× |
| Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision Facility (88147) | $126.70 | $181 | 2.5× |
| Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, maturation index, karyopyknotic index,… (88155) | $45.50 | $65 | 3.1× |
| Cytp c/v auto thin lyr prepj scr mnl rescr phys (88175) | $48.30 | $69 | 1.8× |
| Cytp concentration smears & interpretation (88108) | $67.20 | $96 | 1.6× |
| Cytp Eval Fine Needle Aspirate Interp & Report (88173) | $119.70 | $171 | 2.1× |
| Cytp fna eval dx 1st each site (88172) | $67.20 | $96 | 0.4× |
| Cytp Insitu Hybrid Urine Spec 3-5 Probes Ea Mnl (88120) | $441 | $630 | 2.3× |
| Cytp Smrs Any Oth Src Extnd Std > 5 Slides (88162) | $64.40 | $92 | 1.1× |
| Deoxyribonuclease antibody (86215) | $71.40 | $102 | 5.4× |
| Detect Agent,Immun,Dir Obs,Influenza - Rapid Flu (87804) | $108.50 | $155 | 6.6× |
| Detect agnt mult DNA ampli (87801) | $457.10 | $653 | 6.5× |
| Dgp antibody each ig class (86258) | $42 | $60 | 3.5× |
| Dhea (82626) | $105.70 | $151 | 4.2× |
| Dhea-sulfate (82627) | $129.50 | $185 | 5.8× |
| Digoxin (80162) | $162.40 | $232 | 12.2× |
| Dilantin (80185) | $126 | $180 | 9.5× |
| Diphtheria antitoxoid (86648) | $95.90 | $137 | 6.3× |
| Dna Antibody Single Stranded (86226) | $201.60 | $288 | 16.6× |
| Dna Antibody, Natv/2 Strand - Anti Dna, Double Stranded (86225) | $150.50 | $215 | 11.0× |
| DNA/RNA direct probe (87149) | $211.40 | $302 | 10.5× |
| Drug assay adalimumab (80145) | $151.20 | $216 | 3.9× |
| Drug Assay Infliximab (80230) | $213.50 | $305 | 5.5× |
| Drug Assay Lacosamide (80235) | $66.50 | $95 | 2.5× |
| Drug assay leflunomide (80193) | $225.40 | $322 | 5.8× |
| Drug assay methotrexate (80204) | $144.90 | $207 | 3.8× |
| Drug quant nes (80299) | $147.70 | $211 | 7.9× |
| Drug screen quant zonisamide (80203) | $210.70 | $301 | 15.9× |
| Drug Screen Quantitative Lamotrigine (80175) | $120.40 | $172 | 9.1× |
| Drug Screen Quantitative Lidocaine (80176) | $125.30 | $179 | 8.5× |
| Drug Screen Quantitative Oxcarbazepine (80183) | $205.80 | $294 | 15.5× |
| Drug Scrn Quan Levetiracetam (80177) | $214.20 | $306 | 16.2× |
| Drug test prsmv chem anlyzr (80307) | $322 | $460 | 5.2× |
| Drug tst prsmv read instrmnt asstd dir opt obs (80306) | $61.60 | $88 | 3.6× |
| E test (87181) | $186.55 | $266.50 | 39.3× |
| Ebv viral capsid (86665) | $196 | $280 | 10.8× |
| Egfr Gene Analysis Common Variants (81235) | $515.20 | $736 | 1.6× |
| Ehrlichia antibody (86666) | $46.90 | $67 | 4.6× |
| Elastase pancreatic fecal quantitative (82653) | $189.70 | $271 | 8.3× |
| Electrolyte panel (80051) | $61.60 | $88 | 8.8× |
| Electron microscopy diagnostic (88348) | $675.15 | $964.50 | 0.8× |
| Electronic crossmatch (86923) | $133 | $190 | 0.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $45.15 | $64.50 | 3.7× |
| Enterovirus antibody (86658) | $162.40 | $232 | 12.5× |
| Enterovirus Pcr (87498) | $1,023.40 | $1,462 | 29.2× |
| Enzyme cell activity (82657) | $70.70 | $101 | 3.2× |
| Enzyme histochemistry (88319) | $580.30 | $829 | 0.6× |
| Eosinophil count (85048) | $29.40 | $42 | 11.6× |
| Epstein-Barr Nuclear Antigen - Epstein-Barr Virus Nuclear Antigen Ab (86664) | $110.60 | $158 | 7.2× |
| Estradiol (82670) | $224.70 | $321 | 8.0× |
| Estriol serum (82677) | $101.85 | $145.50 | 4.2× |
| Estrogens total (82672) | $91.70 | $131 | 4.2× |
| Ethylene glycol (82693) | $98 | $140 | 6.6× |
| Euglobulin lysis (85360) | $61.60 | $88 | 7.3× |
| Eval c/v amniotic fluid protein qual ea specimen (84112) | $261.80 | $374 | 2.7× |
| Everolimus (80169) | $163.10 | $233 | 11.9× |
| Exam & Select Archive Tissue Molecular Analysis (88363) | $37.80 | $54 | 1.2× |
| F2 gene analysis 20210g >a variant (81240) | $273 | $390 | 4.2× |
| F5 gene analysis, leiden variant (81241) | $94.50 | $135 | 1.3× |
| Factor ii activity (85210) | $151.90 | $217 | 11.7× |
| Factor inhibitor test (85335) | $120.05 | $171.50 | 9.3× |
| Factor ix activity (85250) | $147.70 | $211 | 7.8× |
| Factor v activity (85220) | $146.30 | $209 | 8.3× |
| Factor vii assay (85230) | $214.20 | $306 | 12.0× |
| Factor viii ahg (85240) | $154 | $220 | 8.6× |
| Factor xi assay (85270) | $221.20 | $316 | 12.4× |
| Factor xii assay (85280) | $51.10 | $73 | 2.6× |
| Factor xiii solubility screen (85291) | $72.10 | $103 | 7.9× |
| Fecal fat qual (82705) | $78.40 | $112 | 15.4× |
| Fecal fat quant (82710) | $195.30 | $279 | 11.6× |
| Fetal bleed screen (85461) | $27.30 | $39 | 2.9× |
| Fetal Chromosomal Aneuploidy Genomic Seq Analys (81420) | $470.40 | $672 | 0.6× |
| Fetal fibronectin (82731) | $455.70 | $651 | 7.1× |
| Fetal Lung Maturity Lecithin Sphingomyelin Ratio (83661) | $54.60 | $78 | 2.5× |
| Fibrin degradation products (85362) | $113.40 | $162 | 16.5× |
| Fibrin Degradation Quant (85379) | $97.30 | $139 | 9.6× |
| Fibrinogen activity (85384) | $144.90 | $207 | 14.9× |
| Fibrinogen Test (85366) | $62.30 | $89 | 0.8× |
| Fibrinolysins/Coagulopathy Screen Interp&Repor (85390) | $37.80 | $54 | 2.4× |
| Flow cytometry first marker (88184) | $119.70 | $171 | 0.3× |
| Flt3 gene analysis (81245) | $963.20 | $1,376 | 5.8× |
| Fluorescent Antibody Screen (86255) | $139.30 | $199 | 11.6× |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $175 | $250 | 14.5× |
| Folate serum (82746) | $115.50 | $165 | 7.9× |
| Folic acid rbc (82747) | $177.10 | $253 | 10.0× |
| Follicle Stimulating Hormone (83001) | $147.70 | $211 | 7.9× |
| Francisella tularensis (86668) | $74.90 | $107 | 5.3× |
| Fresh frozen plasma thawing each unit (86927) | $225.40 | $322 | 1.2× |
| Frozen Section (88331) | $119.70 | $171 | 0.6× |
| Fructosamine (82985) | $56 | $80 | 3.3× |
| Fungus Identification, Mold - Fungal Identification, Mold (87107) | $156.10 | $223 | 15.1× |
| G6pd Screen (82960) | $220.50 | $315 | 36.4× |
| Gabapentin (80171) | $163.10 | $233 | 7.5× |
| Galactose transferase test (82776) | $22.40 | $32 | 1.9× |
| Gammaglobulin ige (82785) | $67.90 | $97 | 4.1× |
| Gardner vag DNA dir probe (87510) | $126.70 | $181 | 6.3× |
| Gases Blood O2 Saturation Only Direct Meas (82810) | $78.40 | $112 | 8.0× |
| Gases Blood Ph Direct Meas Xcpt Pulse Oximitry (82805) | $201.60 | $288 | 2.6× |
| Gastric acid analysis, includes pH if performed, each specimen Facility (82930) | $71.40 | $102 | 10.6× |
| Ggt (82977) | $156.80 | $224 | 21.8× |
| Giardia antigen eia stool (87329) | $173.60 | $248 | 14.5× |
| Glucose (82947) | $65.80 | $94 | 16.7× |
| Glucose Blood Test (82962) | $49 | $70 | 14.9× |
| Glucose body fluid (82945) | $85.40 | $122 | 21.7× |
| Glucose post dose (82950) | $47.60 | $68 | 10.0× |
| Glucose tolerance ea addl beyond 3 specimens (82952) | $65.80 | $94 | 16.8× |
| Glucose Tolerance Test (Gtt) - Bundled Charge (82951) | $47.60 | $68 | 3.7× |
| Growth hormone (83003) | $98.70 | $141 | 5.9× |
| H pylori breath test (83013) | $260.40 | $372 | 3.9× |
| Haloperidol (haldol) (80173) | $87.50 | $125 | 5.5× |
| Haptoglobin (83010) | $130.90 | $187 | 10.4× |
| Hcg qualitative (84703) | $145.60 | $208 | 19.4× |
| Hcg quant (84702) | $187.60 | $268 | 12.5× |
| Heavy metal quant each (83018) | $174.30 | $249 | 7.9× |
| Hematocrit (85014) | $29.40 | $42 | 12.4× |
| Hemoglobin (85018) | $30.10 | $43 | 12.7× |
| Hemoglobin a1c (83036) | $114.10 | $163 | 11.8× |
| Hemoglobin Chromotography - Hemoglobinopathy Eval (83021) | $75.60 | $108 | 4.2× |
| Hemoglobin electrophoresis (83020) | $79.80 | $114 | 6.2× |
| Hemoglobin fetal ql (83033) | $207.90 | $297 | 26.0× |
| Hemoglobin Fetal,Diff Lysis - Kleihauer-Betke Stain (85460) | $116.90 | $167 | 15.1× |
| Hemoglobin plasma (83051) | $121.80 | $174 | 16.7× |
| Hemoglobin stability screen (83068) | $172.90 | $247 | 18.3× |
| Hemolysins/agglutinins auto screen (86940) | $22.40 | $32 | 2.6× |
| Hemosiderin urine (83070) | $46.90 | $67 | 9.9× |
| Heparin assay (85520) | $110.60 | $158 | 8.4× |
| Heparin neutralization (85525) | $54.60 | $78 | 4.6× |
| Hepatitis a antibody total (86708) | $130.90 | $187 | 10.6× |
| Hepatitis a igm (86709) | $150.50 | $215 | 13.4× |
| Hepatitis b core ab igm (86705) | $150.50 | $215 | 12.8× |
| Hepatitis b core antibody total (86704) | $121.10 | $173 | 10.0× |
| Hepatitis B Surface Ab (86706) | $211.40 | $302 | 19.7× |
| Hepatitis B Surface Antigen (87340) | $283.50 | $405 | 27.4× |
| Hepatitis be antibody (86707) | $72.10 | $103 | 6.2× |
| Hepatitis Be Antigen (87350) | $145.60 | $208 | 12.6× |
| Hepatitis c antibody (86803) | $155.40 | $222 | 10.9× |
| Hepatitis C Antibody Confirmatory Test (86804) | $358.40 | $512 | 23.1× |
| Hepatitis C Genotype (87902) | $1,540.70 | $2,201 | 6.0× |
| Hepatitis delta ag (87380) | $221.90 | $317 | 12.1× |
| Herpes simplex type i (86695) | $82.60 | $118 | 6.3× |
| Herpes simplex type ii (86696) | $109.20 | $156 | 5.6× |
| Heterophile Antibodies,Screen - Mononucleosis Screen (86308) | $106.40 | $152 | 20.5× |
| Hexagonal phospholipid (85598) | $46.90 | $67 | 2.6× |
| Hfe gene (81256) | $339.50 | $485 | 5.2× |
| Histamine plasma (83088) | $55.30 | $79 | 1.9× |
| Histoplasma antibody (86698) | $59.85 | $85.50 | 4.3× |
| Histoplasma antigen urine (87385) | $66.50 | $95 | 5.0× |
| HIV confirmation (86689) | $183.40 | $262 | 9.5× |
| HIV-1 antibody (86701) | $46.90 | $67 | 5.3× |
| HIV-1 genotype (87901) | $477.40 | $682 | 1.9× |
| HIV-1 p24 antigen (87390) | $111.30 | $159 | 4.6× |
| Hla class i high defin qual (86832) | $1,174.60 | $1,678 | 3.6× |
| Hla class ii high defin qual (86833) | $1,180.90 | $1,687 | 3.6× |
| Hla class ii phenotype qual (86831) | $483.70 | $691 | 5.9× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $387.10 | $553 | 5.2× |
| HLA typing; A, B, or C, multiple antigens Facility (86813) | $616 | $880 | 10.6× |
| Hla-b27 (86812) | $427.70 | $611 | 16.6× |
| Homogenization tissue (87176) | $30.80 | $44 | 5.2× |
| Homovanillic acid urine (83150) | $67.90 | $97 | 3.0× |
| Hpylori Drug Administration (83014) | $18.20 | $26 | 2.3× |
| Hsv, Dna, Amp Probe - Hsv Pcr (87529) | $256.20 | $366 | 7.3× |
| Hydroxyprogesterone 17-d (83498) | $350 | $500 | 12.9× |
| Iaad ia clostridium difficile toxin (87324) | $213.85 | $305.50 | 17.9× |
| Iaad Ia Cryptococcus Neoformans (87327) | $208.60 | $298 | 15.5× |
| Iaad ia cryptosporidium (87328) | $147 | $210 | 10.6× |
| Iaad Ia Hepatitis B Surface Ag Neutralization (87341) | $132.30 | $189 | 12.8× |
| Iaad Ia Hiv-1 Ag W/Hiv-1 & Hiv-2 Antbdy Single (87389) | $137.20 | $196 | 5.7× |
| Iaad Ia Hpylori Stool - H Pylori Antigen Stool (87338) | $139.30 | $199 | 9.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $269.50 | $385 | 19.4× |
| Iaad Ia Severe Aqt Respir Synd Coronavirus (87426) | $226.10 | $323 | 6.4× |
| Iaad Ia Streptococcus Group A (87430) | $119 | $170 | 7.1× |
| Iaadi influenza b virus (87275) | $96.60 | $138 | 7.9× |
| Iaadi Legionella Pneumophila (87278) | $225.75 | $322.50 | 14.5× |
| Iaadi parainfluenza virus each type (87279) | $226.10 | $323 | 13.8× |
| Iaadi Pneumocustis Carinii (87281) | $254.10 | $363 | 21.2× |
| Iaadi respiratory synctial virus (87280) | $271.60 | $388 | 20.2× |
| Iaadiadoo hiv1 antigen w/hiv1 & hiv2 antibodies (87806) | $149.80 | $214 | 4.6× |
| Iaadiadoo not otherwise specified (87899) | $154.70 | $221 | 9.6× |
| Iadna borrelia burgdorferi amplified probe tq (87476) | $478.10 | $683 | 13.6× |
| Iadna candida species amplified probe tq (87481) | $114.80 | $164 | 3.3× |
| Iadna Candida Species Direct Probe Tq (87480) | $126.70 | $181 | 6.3× |
| Iadna chlamydia pneumoniae amplified probe tq (87486) | $628.95 | $898.50 | 17.9× |
| Iadna Dna/Rna Rsv Amplified Probe Technique (87634) | $481.60 | $688 | 6.9× |
| Iadna hepatitis b virus quantification (87517) | $420.70 | $601 | 9.8× |
| Iadna Hepatitis C Quant & Reverse Transcription - Hcv Quant Pcr (87522) | $425.60 | $608 | 9.9× |
| Iadna herpes virus-6 amplified probe tq (87532) | $93.10 | $133 | 2.7× |
| Iadna HIV-1 quant & reverse transcription (87536) | $715.40 | $1,022 | 8.4× |
| Iadna human papillomavirus high-risk types (87624) | $219.10 | $313 | 6.2× |
| Iadna Human Papillomavirus Types 16 & 18 Only (87625) | $219.10 | $313 | 5.4× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $79.80 | $114 | 2.3× |
| Iadna neisseria gonorrhoeae amplified probe tq (87591) | $66.50 | $95 | 1.9× |
| Iadna nos amplified probe tq each organism (87798) | $489.30 | $699 | 13.9× |
| Iadna nos quantification each organism (87799) | $359.80 | $514 | 8.4× |
| Iadna trichomonas vaginalis amplified probe tech (87661) | $217 | $310 | 6.2× |
| If varicella-zoster antigen (87290) | $88.20 | $126 | 6.6× |
| Igg subclasses (82787) | $32.90 | $47 | 4.1× |
| Igh gene rearrange amp meth (81261) | $459.90 | $657 | 2.3× |
| Igk rearrangeabn clonal pop (81264) | $326.90 | $467 | 1.9× |
| Imhchem/Imcytchm Ea Multiplex Antibody Stain Px (88344) | $303.10 | $433 | 0.8× |
| Immunoassay infectious agent antibody quan nos (86317) | $121.10 | $173 | 8.1× |
| Immunoassay nonantibody (83516) | $77.70 | $111 | 6.7× |
| Immunodiffusion Ouchterlony (86331) | $59.50 | $85 | 5.0× |
| Immunofixation (86334) | $381.50 | $545 | 17.1× |
| Immunofixation urine (86335) | $206.50 | $295 | 7.0× |
| Immunofluorescence per spec 1st singl antb stain (88346) | $119.70 | $171 | 0.6× |
| Immunoglobulin light chains free each (83521) | $43.40 | $62 | 2.5× |
| Immunohistochemistry (88342) | $136.50 | $195 | 0.7× |
| In situ hybridization (88365) | $119.70 | $171 | 0.6× |
| Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B… (87802) | $48.30 | $69 | 3.8× |
| Infectious agent antigen detection by immunofluorescent technique, polyvalent for multiple organisms, each polyvalent… (87300) | $123.20 | $176 | 10.3× |
| Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis, amplified probe technique Facility (87511) | $118.30 | $169 | 3.4× |
| Influenza a/b ag eia (87400) | $108.50 | $155 | 7.7× |
| Influenza DNA amp probe (87502) | $595.70 | $851 | 6.2× |
| Inhibin a (86336) | $56 | $80 | 3.6× |
| Inhibin b (83520) | $92.40 | $132 | 5.4× |
| Insitu hybridization manual (88368) | $303.10 | $433 | 0.8× |
| Insulin antibodies (86337) | $169.40 | $242 | 7.9× |
| Insulin free (83527) | $28.35 | $40.50 | 2.2× |
| Insulin total (83525) | $113.40 | $162 | 9.9× |
| Intrinsic factor antibody (86340) | $72.10 | $103 | 4.8× |
| Iron (83540) | $68.60 | $98 | 10.6× |
| Iron binding capacity (83550) | $70 | $100 | 8.0× |
| Iron stain, peripheral blood Facility (85536) | $29.40 | $42 | 4.3× |
| Islet cell antibody (86341) | $142.10 | $203 | 6.0× |
| Jak2 gene analysis (81270) | $151.20 | $216 | 1.6× |
| Jak2 targeted sequence analysis (81279) | $352.80 | $504 | 1.9× |
| Kras gene analysis (81275) | $554.40 | $792 | 2.9× |
| Lactoferrin fecal qual (83630) | $104.30 | $149 | 5.3× |
| Lactoferrin Fecal Quantitative (83631) | $104.30 | $149 | 5.3× |
| Lamellar Body Count (83664) | $76.30 | $109 | 3.9× |
| Ldh body fluid (83615) | $63 | $90 | 10.4× |
| Ldh isoenzymes (83625) | $151.20 | $216 | 11.8× |
| LDL cholesterol direct (83721) | $85.40 | $122 | 8.1× |
| Lead (83655) | $136.50 | $195 | 11.3× |
| Legionella antibody (86713) | $158.20 | $226 | 10.3× |
| Legionella antigen urine (87449) | $124.60 | $178 | 10.4× |
| Leptospira antibody (86720) | $151.20 | $216 | 9.3× |
| Leukocyte Assmt Fecal Qual/Semiquantitative (89055) | $46.90 | $67 | 11.0× |
| Level ii surg pathology grossµscopic exam (88302) | $67.20 | $96 | 1.6× |
| Level v surg pathology grossµscopic exam (88307) | $200.20 | $286 | 0.5× |
| Level vi surg pathology grossµscopic exam (88309) | $580.30 | $829 | 0.6× |
| Lh (83002) | $112 | $160 | 6.0× |
| Lipase (83690) | $129.50 | $185 | 18.8× |
| Lipopro bld electrophoretic (83700) | $46.20 | $66 | 4.1× |
| Lipoprotein Blood Quan Numbers & Subclasses (83704) | $122.50 | $175 | 3.6× |
| Listeria ab (86609) | $119.70 | $171 | 9.3× |
| Lithium (80178) | $110.60 | $158 | 16.7× |
| Lyme disease antibody (86618) | $222.60 | $318 | 13.1× |
| Lymphocyte transformation (86353) | $257.60 | $368 | 5.3× |
| M/phmtrc alys ish quant/semiq cptr each multiprb (88374) | $441 | $630 | 2.3× |
| M/phmtrc alys ish quant/semiq mnl each multiprb (88377) | $324.80 | $464 | 1.7× |
| M/phmtrc alys tumor imhchem ea antibody manual (88360) | $119.70 | $171 | 0.6× |
| Macroscopic exam arthropod (87168) | $96.60 | $138 | 22.6× |
| Macroscopic exam parasite (87169) | $67.90 | $97 | 15.8× |
| Magnesium (83735) | $56.70 | $81 | 8.5× |
| Malaria smear (87207) | $118.30 | $169 | 19.7× |
| Manual reticulocyte count (85044) | $46.90 | $67 | 10.9× |
| Measurement of hemolysin (red blood cell destructive substance) (85475) | $41.30 | $59 | 4.7× |
| Mercury urine (83825) | $97.30 | $139 | 6.0× |
| Methemoglobin (83050) | $29.40 | $42 | 3.6× |
| Methylmalonic acid serum (83921) | $160.30 | $229 | 7.6× |
| Microalbumin urine (82043) | $92.40 | $132 | 16.0× |
| Microslide Consult W Slide Prep - Lab Microslide Consult W Sld Prep (88323) | $391.30 | $559 | 6.7× |
| Microsomal antibodies (86376) | $120.40 | $172 | 8.3× |
| Mitochondrial antibody each (86381) | $92.40 | $132 | 3.6× |
| Molecular Cytogenetics Interphase Ish 25-99 Cll (88274) | $190.75 | $272.50 | 4.5× |
| Molecular pathology procedure level 2 (81401) | $263.90 | $377 | 1.9× |
| Mpl gene common variants (81338) | $331.10 | $473 | 2.2× |
| Mrsa PCR (87641) | $247.10 | $353 | 7.0× |
| Mthfr Gene Analysis Common Variants (81291) | $217 | $310 | 3.3× |
| Mucin, synovial fluid (Ropes test) Facility (83872) | $63 | $90 | 10.8× |
| Muramidase (85549) | $39.90 | $57 | 2.1× |
| Mycobacteric identification (87118) | $262.15 | $374.50 | 17.9× |
| Mycophenolic acid (80180) | $354.20 | $506 | 19.6× |
| Mycoplasma antibody (86738) | $76.30 | $109 | 5.8× |
| Mycoplasma culture (87109) | $213.50 | $305 | 13.9× |
| Myelin basic protein csf (83873) | $112 | $160 | 6.5× |
| Myoglobin urine (83874) | $118.30 | $169 | 9.2× |
| Nasal smear for eosinophils (89190) | $88.90 | $127 | 15.4× |
| Natriuretic peptide (83880) | $238 | $340 | 6.1× |
| Nfct Agent Dna/Rna Gastrointestinal Pathogen (87505) | $527.10 | $753 | 4.1× |
| Nfct ds chrnc hcv 6 assays (81596) | $304.15 | $434.50 | 4.2× |
| Nk cells total count (86357) | $175.70 | $251 | 4.7× |
| Npm1 Nucleophosmin Gene Anal Exon 12 Variants (81310) | $478.10 | $683 | 1.9× |
| Nuclear antigen antibody (86235) | $24.50 | $35 | 1.4× |
| Occult blood gastric (82271) | $40.60 | $58 | 7.6× |
| Occult blood stool (82272) | $38.50 | $55 | 9.1× |
| Oligoclonal bands (83916) | $154.70 | $221 | 5.6× |
| Organic Acids Qualitative Each Specimen (83919) | $126.70 | $181 | 7.7× |
| Organic acids total quantitative each specimen (83918) | $144.90 | $207 | 6.1× |
| Orthopoxvirus Amp Prb Each (87593) | $128.10 | $183 | 2.5× |
| Osmolality serum (83930) | $84 | $120 | 12.7× |
| Osmolality urine (83935) | $84 | $120 | 12.3× |
| Ova and parasite direct-id lca (87177) | $184.10 | $263 | 20.7× |
| Oxalate urine (83945) | $98 | $140 | 6.8× |
| Pancreatic polypeptide (83519) | $72.80 | $104 | 4.0× |
| Particle Agglutination Screen Each Antibody (86403) | $154 | $220 | 13.3× |
| Parvovirus antibody (86747) | $200.20 | $286 | 13.3× |
| Path Consltj Surg Cytologic Exam Initial Site (88333) | $119.70 | $171 | 0.1× |
| Pathology Clinical Consultation Sf Mdm 5-20 Min (80503) | $112.70 | $161 | 1.9× |
| Ph body fluid (83986) | $59.50 | $85 | 16.6× |
| Ph urine (81003) | $51.80 | $74 | 23.0× |
| Phenotype Infect Agent Drug (87900) | $180.60 | $258 | 1.4× |
| Phenylalanine (84030) | $128.80 | $184 | 23.4× |
| Phenytoin free (80186) | $70 | $100 | 5.1× |
| Phosphatase alkaline (84075) | $94.50 | $135 | 18.2× |
| Phosphorus blood (84100) | $196.70 | $281 | 41.5× |
| Phosphorus urine (84105) | $53.90 | $77 | 9.3× |
| Pinworm exam (87172) | $102.20 | $146 | 23.9× |
| Plasminogen (85420) | $17.50 | $25 | 2.7× |
| Platelet aggregation (85576) | $56 | $80 | 2.2× |
| Platelet count automated (85049) | $55.30 | $79 | 12.3× |
| Pooling blood platelets (86965) | $252.70 | $361 | 1.3× |
| Porphobilinogen urine quant (84110) | $142.10 | $203 | 16.8× |
| Porphyrins Urine Quantitation & Fractionation (84120) | $167.30 | $239 | 11.4× |
| Potassium (84132) | $42.70 | $61 | 9.0× |
| Potassium urine (84133) | $44.10 | $63 | 9.3× |
| Pretx rbc antibody incubat w/enzymes each (86971) | $359.86 | $514.08 | 1.9× |
| Pretx serum rbc antb id incubation inhibitors ea (86977) | $359.86 | $514.08 | 1.9× |
| Pretx serum rbc antibody identification dilution (86976) | $54.87 | $78.39 | 1.7× |
| Primidone (80188) | $84.70 | $121 | 5.1× |
| Procainamide napa (80192) | $192.50 | $275 | 11.5× |
| Procalcitonin (pct) (84145) | $329.70 | $471 | 12.1× |
| Progesterone (84144) | $113.40 | $162 | 5.4× |
| Protein body fluid (84157) | $51.10 | $73 | 12.8× |
| Protein c activity (85303) | $125.30 | $179 | 9.1× |
| Protein c antigen (85302) | $93.80 | $134 | 7.8× |
| Protein electrophoresis serum (84165) | $123.90 | $177 | 11.5× |
| Protein Electrophoresis Urine (84166) | $128.10 | $183 | 7.2× |
| Protein s total (85305) | $99.40 | $142 | 8.6× |
| Protein total serum (84155) | $49.70 | $71 | 13.5× |
| Protein urine (84156) | $86.80 | $124 | 23.7× |
| Protein Western Blot (84182) | $61.60 | $88 | 2.1× |
| Protein westrn blot i&r blood/other fluid (84181) | $60.90 | $87 | 3.6× |
| Prothrombin Time Substitution Plasma Frctj Each (85611) | $55.30 | $79 | 14.0× |
| Protoporphyrin rbc quantitative (84202) | $51.10 | $73 | 3.6× |
| Protoporphyrin, RBC; screen Facility (84203) | $90.30 | $129 | 9.3× |
| PSA free (84154) | $72.80 | $104 | 4.0× |
| Pth intact (83970) | $207.90 | $297 | 5.0× |
| Quinidine (80194) | $230.30 | $329 | 15.8× |
| Rbc (85041) | $9.10 | $13 | 3.0× |
| Rbc antibody elution (86860) | $252.70 | $361 | 1.3× |
| Rbc pretreatment serum (86978) | $133 | $190 | 2.0× |
| Rbc pretx incubatj w/chemicl (86970) | $124.74 | $178.20 | 1.9× |
| Reagent strip/blood glucose (82948) | $46.90 | $67 | 9.3× |
| Renin activity plasma (84244) | $279.30 | $399 | 12.7× |
| Reptilase test (85635) | $32.90 | $47 | 3.3× |
| Resp virus 12-25 targets (87633) | $977.20 | $1,396 | 2.3× |
| Resp virus 3-5 targets (87631) | $554.40 | $792 | 3.9× |
| Reticulocyte count auto (85045) | $72.45 | $103.50 | 18.2× |
| Rheumatoid Factor Qual (86430) | $91 | $130 | 14.8× |
| Rheumatoid factor quant (86431) | $77 | $110 | 13.6× |
| Rickettsia antibody (86757) | $95.20 | $136 | 4.9× |
| Ristocetin cofactor (85245) | $197.40 | $282 | 8.6× |
| Rotavirus ag eia (87425) | $211.40 | $302 | 17.6× |
| Rpr Titer (86593) | $46.20 | $66 | 10.5× |
| Rubella antibody (86762) | $109.90 | $157 | 7.6× |
| Rubeola Antibody Igg (86765) | $131.60 | $188 | 10.2× |
| Russell viper venom time diluted (85613) | $78.40 | $112 | 8.2× |
| Salicylate Level (80179) | $338.80 | $484 | 18.2× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $289.10 | $413 | 5.6× |
| Sars-Cov-2 Covid-19 Antibody (86769) | $60.20 | $86 | 1.4× |
| Sarscov2 & inf a&b amp prb (87636) | $398.65 | $569.50 | 2.8× |
| Sarscov2&inf a&b&rsv amp prb (87637) | $674.10 | $963 | 4.7× |
| Sc Std Antmcrb Agt Macrobroth Dil Meth Ea Agt (87188) | $86.10 | $123 | 13.0× |
| Sedimentation rate (85651) | $42.70 | $61 | 10.0× |
| Sedimentation rate auto (85652) | $70.70 | $101 | 26.2× |
| Selenium (84255) | $145.60 | $208 | 5.7× |
| Semen analysis complete (89322) | $150.50 | $215 | 9.7× |
| Semen analysis complete (89320) | $46.20 | $66 | 3.8× |
| Semen analysis motility and count (89310) | $114.10 | $163 | 13.3× |
| Semen analysis; presence and/or motility of sperm including Huhner test (post coital) Facility (89300) | $38.50 | $55 | 3.9× |
| Semen analysis; sperm presence and motility of sperm, if performed Facility (89321) | $120.40 | $172 | 10.0× |
| Sensitivity kb (87184) | $230.30 | $329 | 30.8× |
| Sensitivity mic (87186) | $77 | $110 | 8.9× |
| Serotonin Release Assay (86022) | $243.60 | $348 | 13.3× |
| Serum bactericidal titer (87197) | $296.80 | $424 | 19.8× |
| Serum screening for cytotoxic percent reactive antibody (PRA); standard method Facility (86807) | $314.30 | $449 | 4.0× |
| Sex hormone binding globulin (84270) | $76.30 | $109 | 3.5× |
| Sickling of rbc reduction (85660) | $72.80 | $104 | 13.2× |
| Sirolimus (rapamycin) (80195) | $55.30 | $79 | 4.0× |
| Smear acid fast (87206) | $118.30 | $169 | 21.9× |
| Smear complex stain (87209) | $225.40 | $322 | 12.5× |
| Smear gram stain (87205) | $93.10 | $133 | 21.8× |
| Smn1 Gene Analysis Dosage/Delet Alys W/Smn2 Alys (81329) | $962.50 | $1,375 | 7.0× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $122.85 | $175.50 | 21.1× |
| Sodium (84295) | $42.70 | $61 | 8.9× |
| Sodium feces (84302) | $44.10 | $63 | 9.1× |
| Sodium urine (84300) | $41.30 | $59 | 8.2× |
| Soluble transferrin receptor (84238) | $193.20 | $276 | 5.3× |
| Somatomedin (84305) | $119.70 | $171 | 5.6× |
| Spcl Stn 2 I&R Excpt Microorg/Enzyme/Imcyt (88313) | $67.20 | $96 | 0.5× |
| Special stains group 1 (88312) | $67.20 | $96 | 1.2× |
| Specific gravity body fluid (84315) | $36.40 | $52 | 11.1× |
| Specimen fat stain (89125) | $51.80 | $74 | 8.8× |
| Spectrophotometry (84311) | $72.10 | $103 | 8.9× |
| Splitting blood/blood products each unit (86985) | $186.20 | $266 | 1.0× |
| Staph a DNA amp probe (87640) | $217 | $310 | 6.2× |
| Stool Culture, Addl Pathogens (87046) | $146.30 | $209 | 15.5× |
| Strep a assay w/optic (87880) | $143.50 | $205 | 8.7× |
| Strep a DNA amp probe (87651) | $248.50 | $355 | 7.1× |
| Strep b DNA amp probe (87653) | $154.35 | $220.50 | 4.4× |
| Sugars Single Qualitative, Each Specimen (84376) | $72.10 | $103 | 13.1× |
| Surg path level 1 (88300) | $67.20 | $96 | 2.1× |
| Surg path level iii (88304) | $119.70 | $171 | 2.1× |
| Surgical pathology level IV (88305) | $119.70 | $171 | 2.1× |
| Susceptibility studies, antimicrobial agent; microdilution or agar dilution, minimum lethal concentration (MLC), each… (87187) | $96.60 | $138 | 2.4× |
| Sweat collection (89230) | $172.20 | $246 | 3.0× |
| T Cell Absolute Count (86361) | $134.40 | $192 | 5.0× |
| T Cells Absolute Cd4&Cd8 Count Ratio (86360) | $255.50 | $365 | 5.4× |
| T cells total count (86359) | $175.70 | $251 | 4.7× |
| T3 free (84481) | $126 | $180 | 7.4× |
| T3 reverse (84482) | $56.70 | $81 | 3.6× |
| T3 total (84480) | $109.20 | $156 | 7.7× |
| T3 uptake (84479) | $113.40 | $162 | 17.5× |
| T4 free (84439) | $100.10 | $143 | 11.1× |
| T4 total (84436) | $114.10 | $163 | 16.6× |
| Tb intradermal test (86580) | $51.80 | $74 | 1.6× |
| Tb test, cell immun measure (86480) | $109.20 | $156 | 1.8× |
| Testosterone free (84402) | $96.60 | $138 | 3.8× |
| Testosterone total (84403) | $181.30 | $259 | 7.0× |
| Theophylline (80198) | $168 | $240 | 11.9× |
| Thin prep pap (88142) | $77 | $110 | 3.8× |
| Thrombin time plasma (85670) | $54.60 | $78 | 9.5× |
| Thrombin time titer (85675) | $56.70 | $81 | 8.3× |
| Thromboplastin time prtl substit plasma frctj ea (85732) | $100.10 | $143 | 15.5× |
| Thyroglobulin (84432) | $68.25 | $97.50 | 4.2× |
| Thyroglobulin antibody (86800) | $101.50 | $145 | 6.4× |
| Thyroid Stimulating Immune Globulins Tsi (84445) | $345.10 | $493 | 6.8× |
| Tiagabine (80199) | $252.70 | $361 | 9.3× |
| Tiss Cul Non-Neo Disorders Amniotic/Chornc Cells (88235) | $676.20 | $966 | 4.5× |
| Tiss cul non-neo disorders skn/oth solid tiss bx (88233) | $793.10 | $1,133 | 5.6× |
| Tiss Koh Slide Samps Skn/Hr/Nls Fngi/Ectoparasit (87220) | $143.50 | $205 | 33.6× |
| Tissue culture bone marrow (88237) | $635.60 | $908 | 4.4× |
| Tissue culture lymphocyte (88230) | $374.50 | $535 | 3.2× |
| Tissue culture solid tumor (88239) | $625.10 | $893 | 4.2× |
| Tissue transglutaminase ab iga (86364) | $188.30 | $269 | 16.3× |
| Tobramycin peak (80200) | $181.65 | $259.50 | 11.3× |
| Touch prep (88161) | $67.20 | $96 | 2.1× |
| Toxoplasma ab igm (86778) | $101.50 | $145 | 7.0× |
| Toxoplasma antibody igg (86777) | $127.40 | $182 | 8.9× |
| Transferrin (84466) | $126 | $180 | 9.9× |
| Trg gene rearrangement analysis (81342) | $252.70 | $361 | 1.3× |
| Triglycerides (84478) | $60.90 | $87 | 10.6× |
| Troponin (84484) | $133 | $190 | 10.7× |
| Troponin, qualitative Facility (84512) | $163.80 | $234 | 16.2× |
| Unlisted Surgical Pathology Procedure (88399) | $49 | $70 | 0.8× |
| Unlisted Transfusion Medicine Procedure (86999) | $470.40 | $672 | 14.6× |
| Urea nitrogen (84520) | $51.10 | $73 | 12.9× |
| Urea Nitrogen Clearance (84545) | $24.50 | $35 | 3.4× |
| Urea nitrogen urine (84540) | $39.90 | $57 | 7.2× |
| Uric acid blood (84550) | $100.10 | $143 | 22.1× |
| Uric acid other source (84560) | $41.30 | $59 | 8.1× |
| Urinalysis auto w/scope (81001) | $74.20 | $106 | 23.4× |
| Urinalysis Microscopic Only (81015) | $38.50 | $55 | 12.6× |
| Urinalysis; 2 or 3 glass test Facility (81020) | $39.90 | $57 | 8.5× |
| Urine Bacteria Culture (87088) | $112.70 | $161 | 13.9× |
| Urine pregnancy test (81025) | $70 | $100 | 8.1× |
| Urine volume measurement (81050) | $23.80 | $34 | 6.5× |
| Urobilinogen urine qual (84578) | $39.90 | $57 | 8.9× |
| Urobilinogen, urine; quantitative, timed specimen Facility (84580) | $43.40 | $62 | 4.5× |
| Valproic acid (80164) | $193.20 | $276 | 14.3× |
| Vancomycin trough (80202) | $183.40 | $262 | 13.5× |
| Varicella-zoster antibody (86787) | $79.80 | $114 | 6.2× |
| Vasoactive intestinal peptide (vip) (84586) | $158.20 | $226 | 4.5× |
| Vdrl csf (86592) | $100.80 | $144 | 23.6× |
| Virus antibody nos (86790) | $182 | $260 | 14.1× |
| Virus id non-immunologic oth/thn cytopathic (87255) | $168 | $240 | 5.0× |
| Virus inoculate tissue addl (87253) | $126.70 | $181 | 6.3× |
| Virus inoculation, shell via (87254) | $87.50 | $125 | 4.5× |
| Viscosity serum (85810) | $64.40 | $92 | 5.5× |
| Vitamin A (84590) | $93.10 | $133 | 8.0× |
| Vitamin b-12 (82607) | $119.70 | $171 | 7.9× |
| Vitamin b1 (thiamine) (84425) | $84.70 | $121 | 4.0× |
| Vitamin b6 (84207) | $56.70 | $81 | 2.0× |
| Vitamin c (82180) | $41.30 | $59 | 4.2× |
| Vitamin D 25-Hydroxy (82306) | $203.70 | $291 | 6.9× |
| Vitamin e serum (84446) | $75.60 | $108 | 5.3× |
| Voltage-gated calcium channel antibody each (86596) | $67.20 | $96 | 5.6× |
| Wbc Alkaline Phosphatase - Leukocyte Alkaline Phosphatase (85540) | $73.50 | $105 | 8.5× |
| West nile virus antibody (86789) | $172.90 | $247 | 12.0× |
| West nile virus igm (86788) | $171.50 | $245 | 10.2× |
| Xylose Absorption Test (84620) | $224.70 | $321 | 17.4× |
| Zinc (84630) | $105 | $150 | 9.2× |